Coaching Progress Form

Name*

First NameLast Name

Date*

Date

Email*

example@example.com

What overall positive changes in your life, health, well-being, relationships and intimacy have you noticed since starting your personalized program? *

What achievements have been met? *

What new vocabulary have you learned and/or polished?*

What mindsets have you shifted, acquired and/or mastered?*

What practices and/or exercises did you find helpful and which do you continue to use?*

Which archetypes did you discover and how are you working with them?*

What recommendations or insights did you find helpful and valuable?*

Any changes with weight?

How is your sleep?

How is your energy?

How is your mood?

Are you exercising?

What foods do you crave and when?

What percentage of your foods do you cook/prepare at home?

Are there any other areas you would like to focus on, shift, or approach differently in order to meet your goals?*

Any other comments?

I would like to thank you for taking the time to provide a testimonial. This will be very helpful for letting others know exactly what I do as a Life, Relationships and Integrative Sexuality Coach, Somatic Therapist and Tantra Facilitator and how I can specifically provide them the support they need to reach their own goals and desires.

Below you will find some fill in the blank questions to guide you in writing your testimonial. Don’t worry about completing all of them or giving the “perfect answer.” Just respond to the questions that truly resonate with you, be as open and honest as possible, and have fun sharing your experience!

1. My top three goals upon starting the program were*

2. My coach was able to help me work toward these goals by*

3. The biggest tangible change I have noticed since beginning the program has been*

4. The most significant overall change I have noticed has been*

5. I would describe my coach as*

6. I would recommend my coach to *

7. Other comments and feedback:*

Can I state your first name and use your testimonial on my website and other marketing materials? Yes or No If Yes, What name or alias should we use? *

COACHING PROGRESS

Testimonial Request